THE DENTAL PAVILION INC NPI 1407013311

NPI Information

THE DENTAL PAVILION INC is a general practice dentist in Philadelphia, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. THE DENTAL PAVILION INC NPI is 1407013311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4613 BALTIMORE AVE
PHILADELPHIA, PA
ZIP 19143
Phone: (215) 386-0334
Fax: (215) 386-9323

The provider's authorized official is Erik D. Williams .
The authorized official title is Dentist Ceo and has the following contact phone number (215) 386-0334.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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